NPI | 1346376753 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.004607) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2007-02-27 |
Last Update Date | 2014-08-14 |